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ultrasound in gynecology and obstetrics (Paperback, Softcover reprint of the original 1st ed. 1978)
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ultrasound in gynecology and obstetrics (Paperback, Softcover reprint of the original 1st ed. 1978)
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by Dr. Donald L. King The past decade has seen the ascent of
ultrasonography to a preeminent position as a diagnostic imaging
modality for obstetrics and gynecology. It can be stated without
qualification that modern obstetrics and gynecology cannot be
practiced without the use of diagnostic ultrasound, and in
particular, the use of ultrasonogra phy. Ultrasonography quickly
and safely provides detailed, high resolution images of the pelvic
organs and gravid uterus. The quality and quantity of diagnostic
information obtained by ultra sonography far exceeds anything
previously available and has had a revolutionary impact on the
management of patients. High resolution static images permit the
intrauterine diagnosis of fetal growth retardation and fetal
abnormalities. In addition to tradi tional images, newer dynamic
imaging techniques allow observa tion of fetal motion, cardiac
pulsation, and respiratory efforts. The use of ultrasonography for
guidance has greatly augmented the safety and utility of
amniocentesis. One of the great virtues of diagnostic ultrasound
has been its apparent safety. At present energy levels, diagnostic
ultrasound appears to be without any injurious effect. Although all
the availa ble evidence suggests that it is a very safe modality
and that the benefit to risk ratio is very high, the actual safety
margin for its use Vll as yet remains unknown. As a consequence,
practitioners are urged to limit its use only to those situations
in which genuine clinical indica tions exist and real benefit to
the patient is likely to result."
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